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past medical history

  1. M

    Rules of "code first" for Z09/Z86/Z87?

    Codes Z86 and Z87 tell you to code Z09 first if it is a follow up. However, my question is - do these codes NEED the Z09 at all? For example, if the visit is not a follow-up visit for that specific issue, but they have a past history of that issue, is the Z09 code still required?
  2. W

    Past Medical History Question

    I am performing an audit and in the note under Past Medical History, the provider states "No Medical History". Can I count this in the HPI evaluation? **I know we can but some coworkers are disagreeing with me. I need others to assist me in this fight.
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